SYLVIA BOLOCZKO (MD) – Family Medicine Physician, NPI 1063400893

SYLVIA BOLOCZKO (MD) is a healthcare provider. based in Oscoda, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME151089 (FL). The NPI Number for SYLVIA BOLOCZKO (MD) is 1063400893

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SYLVIA BOLOCZKO (MD)
NPI
1063400893
Phone
(989) 739-1441
Address
5939 N HURON RD
Enumeration Date
6 October 2005
Last Update Date
11 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1951204221
Group Practice PAC ID
9638070766
Professional Enrollment ID
I20040202000788

Contacts

Secure Messaging
sylviaboloczko@smomsjhs.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for SYLVIA BOLOCZKO (MD)

  • Huron Road, Oscoda, Oscoda Township, Iosco County, Michigan, United States

    OSCODA, MI 487509710

    Phone: (989) 739-1441

    Fax: (989) 739-6093

    Type: Mailing

  • 16860 US HIGHWAY 441

    MOUNT DORA, FL 327576713

    Phone: (352) 432-8443

    Fax: (844) 388-6186

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-09-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($18).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211013003174IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48750)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638070766View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
Internal MedicineMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Medical OncologyIA
Physician AssistantMI
General SurgeryAZ
-MI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check SYLVIA BOLOCZKO (MD) using NPI 1063400893?
NPI 1063400893 belongs to SYLVIA BOLOCZKO (MD); compare other details if you need extra assurance.
Would SYLVIA BOLOCZKO (MD) appear as active to a payer?
You can treat SYLVIA BOLOCZKO (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SYLVIA BOLOCZKO (MD)?
SYLVIA BOLOCZKO (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SYLVIA BOLOCZKO (MD) located near Oscoda?
SYLVIA BOLOCZKO (MD) currently maps to Oscoda, Michigan in this extract.
When was this NPI issued?
Enumeration for SYLVIA BOLOCZKO (MD) is noted as October 6, 2005 where the registry provides it.

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